![]() Regardless there were still visits occurring at higher frequency than necessary. The instituted algorithm resulted in a decrease in unnecessary follow up visits at 1 month and 3 months making room for more appropriate visits. 47% of the visits occurred at closer follow-up than necessary. ![]() 2% of patients were discharged from the clinic. 22% were asked to follow up within 6 months compared to 17% and 11% were asked to follow up at 12 months compared to 4%. 26% patients were asked to follow up within 3 months compared to 47% before (p=0.0016). 8% of patients were asked to follow up within a month compared to 21% on the previous analysis (p=0.0082). This data was compared to our 2016 pre-algorithm data regarding appropriateness of follow up.ĩ9 general cardiology visits with physicians were analyzed. ![]() For each visit we identified the time of the prior and subsequent cardiology visit (1, 2, 3, 6, 9, 12, 24 months,>24 months or prn if discharged from clinic) and the reason for the follow up visit. Final chart review was done on 99 general cardiology visits seen by physicians. We identified 220 patient encounters in the cardiology clinic during a one-week period from April 16–20, 2018 and stratified them by visit type and sub-specialty. This follow up study assesses efficacy of this algorithm.Ī team consisting of 3 fellows, a clinic nurse, and a supervising physician was formed. In an effort to reduce unnecessary visits we implemented an algorithm of time to appropriate follow-up. In 2016 we determined that high visit density was due to more frequently spaced follow-up visits than necessary. In 2016 the New Orleans VA Cardiology Clinic had the highest number of cardiology clinic appointments per unit time across all specialties and VA practices nationally. Southeast Louisiana Veterans Health Care System (SLVHCS) provides specialty care for New Orleans and Baton Rouge.
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